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SHAE WILSON
NPI 1972357382
Optometrist in Glasgow, KY

Active since April 12, 2024PECOS EnrolledAccepts Medicare Assignment
1407 N RACE ST, GLASGOW, KY 42141(270) 651-6652 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 8, 2024, Apr 12, 2024 (2 updates tracked since 2024).

About Shae Wilson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAE WILSON (NPI 1972357382) is an individual optometrist in Glasgow, Kentucky, licensed in Kentucky (2407DT) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (2024).

NPPES Registry Identity

NPI1972357382
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameSHAE WILSON
Location Address1407 N RACE STGlasgow, KY 42141-3490
Mailing Address476 Timber Ridge RdLost Creek, WV 26385-7227
Phone(270) 651-6652
Sole ProprietorYes
Medical School CMSSouthern California College Of OptometryGraduated 2024
Enumeration DateApril 12, 2024
Last NPPES UpdateJuly 8, 20242 updates tracked since enumeration
NPPES CertifiedJuly 8, 2024
✔ NPI 1972357382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in KY · 2407DT
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1407 N RACE ST, Glasgow, KY 42141
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shae Wilson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345771549
PECOS Enrollment IDI20240928000370
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42141 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHEN DOUGLAS WARD O.D.
Optometrist
1407 N RACE ST
GLASGOW, KY 42141
Barren County (270) 651-6652
EYE CARE OF SOUTHERN KENTUCKY, PSC
Eyewear Supplier
1407 N RACE ST
GLASGOW, KY 42141
Barren County (270) 651-6652
SAGE PEAK EYE CARE PLLC
Optometrist
1407 N RACE ST
GLASGOW, KY 42141
Barren County (270) 651-6652

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shae Wilson's NPI number?

The NPI number for Shae Wilson is 1972357382. It was assigned to this individual provider in the NPPES registry on April 12, 2024.

Where is Shae Wilson located?

Shae Wilson practices at 1407 N Race St, Glasgow, KY 42141. The listed phone number is (270) 651-6652.

What is Shae Wilson's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Shae Wilson enrolled in Medicare?

Yes. Shae Wilson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shae Wilson accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Shae Wilson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shae Wilson was last updated on July 8, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.